Best of Five 55

 

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BOF: 55

A 30-year-old male presents with several weeks history of blood and mucous diarrhoea. He has a frequency of bowel movement of 8 times during the day and has to wake up 3 times at night to have a bowel movement. Unprepared flexible sigmoidoscopy shows an inflamed colonic mucosa. A feature that will show that this patient has disease affecting the right colon would be:

a)      Serum albumin level of less than 30 g /l

b)      CRP of greater than 100

c)      Thumb printing on plain abdominal x-ray

d)      Distended loops of small bowel

e)      A tachycardia of greater than 100 per minute

 

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